| NPI | 1821611922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 5101027301) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 5151014268) |
| Enumeration Date | 2020-05-22 |
| Last Update Date | 2023-06-27 |